HomeMy WebLinkAbout141 Beelzebub Road (2)51 0 T BUILDING INSPECTOR
pb'
of 1i lit APPLICATION FOR
TIOWN OF SOUTH WODSOR,COMPE PLAN EXAMINATION ANO
BUILDING PERMI T
IMPORTANT — Applicant to complete all items in sections: 1, it, lilt 1 and IX.O
I, AeL x0z ZONINGAT (LOCATION) DISTRI
LOCATION NO') STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOTSUBDIVISIONLOTBLOCKSIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Im
M
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreationalofnewhousingunitsadded, i/any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — --)P. 20 Industrial3 Alteration (See 2 above)
14 E-:] Transient hotel, motel,4 Repair, replacement 21 Parking garageordormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — -- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutionalPartD, 13)
16 Carport 24 Office, bank, professional6ElMoving (relocation)
17 Other — Specify 25 Public utility7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 W Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital, elementary10. Cost of improvement,,,,,,,,,,,;,,,, $ ap,ZAW12 school, secondary school, college, parochial school, parking garage for,
71 department store, rental office building, office building at industrial plant.To be installed but not included If use of existing building is being changed,enter proposed use.in the above cost
a. Electrical......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BU L ING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry (wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior32 77 sStructuralsteeldimensions .................... i isr-
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company 50. Total land area, sq. ft. ........... 060
43 R Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36rE Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of bedrooms........... •
38 Coal
39 Other— Specify Will there be an elevator? Full..........54. Number of
46 Yes 47 X No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing addr s — Number, st et, city, d State ZIP code Tel. No.
1. A
Owner or of A)ffr
Lessee
Contractor
3.
Architect or XV61404a
J
t
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Addres mr / Application datere /
01 7 73
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Dote Plans B NotesFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval I Check Date Number BObtainedObtained y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building I
8 v NY ff !Y 0119Permitnumber
4 ACCOPMANKS WI'Vri TOWN OfBuilding
Permit issued 7-3—?3 19 SC3M WINDSOR, ORD`k" ANCE NO. 6
Building
Permit Fee $ 162.00 plus $3.00 for C.O.
OWTA&I
Approved by:f
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
N
L
e.P m. r•}
n
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r } M:q, ra d,r Yt y4 p at }.$ .q.; .; 3° b }
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TOWN
OF
SOUTH
WINDSOR
BUILDING
PERMIT
Date
July
31
1973
Fee
Paid $.
162.
00
Est.
Value $.
27
s
000
e
f
Permit
W,
8119
on
the
side
of
Beelzebub
Rd.
Street
Street
No.
141
Owner
John
W.
Tene
za
Applicant
Same
CERTIFICATE
OF
OCCUPANCY
ISSUED:
Date
No.
4371
Fee
Paid $
3.
00 CLASSIFICATION
Dwelling
BUILDING PERMIT
8119
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 'may. 3 a 1973
is to Trrttf1j, That John W, Tsnaza
is hereby granted permission to Duelling
at estimated value of $2 7 a 00
on the side of 141 B'a Z zabub Rd.Street on land
owned by Join. W. Tenc za
Said work to be as described in Application
No. 8 La9 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
fly ; 973Iss
uil :ng Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compeller: to reason therefor."
INSPECTIO
REPORT
Permit #
Job
11—
1
Footing -
2
y-
73
2
Foundation
3
Framing
4
Wiring
j -
a7-
T
a—//-
7/
7y
5
Plumbing
Co //-.
2 -
73
6
Heating -- /
3 -
7cl
7
Lathing
y-
7=
8
C.
O.
7--
i -
7
Al
d
I
i
Pe
i
rra
t
Na
TOWN
QF
SOUTH
WINDSOR
SOUTH
WINDSOR,
CONN.
Permit
N
4371
Certificate
of
Oc
upancy
THIS
IS
TO
CERT
y {
t
th
at
No.
i
in
the
been
erected
and
com
wn
of
South
Windsor,
Connecticut,
has
d
in
accordance
with
the
Building
Code
and
Zoning
the
Town
of
South
W
cor,
and
is
here
b
a
Regulations
of
Y
approved
for
occupanIle
t;
ii
Bui
g
Inspector
Owner,
Builder
Fee
Paid
Date
r'
19 '""
IP
SEEL.ZEBUB R04D SEWER LATERAL
175.54 18,
oo 0 1 P
o.
0
LOT OB
1.0Acf
N/F
A&J. p t
w` N/F
PETERSON o f N L.W. & L.B.
LOT N M WHITE
oN
24.5 8' 14' 56'
40.5' 28' 14' 34' 40'
94.5
O WELL
o1900175.00' 900
IP 1 P Ofi
1.8 Act
to
oF c,0k TOTAL 2.8 Ac
F 9 U-)
Q
No. 5032 j '
all
DnSURun O +A
0 175.25
A
IP ERARDINO 8' MCNAMAR
NSF pIB
I HEREBY CERTIFY THIS MAP TOBESUBSTANTIALLYCORRECTANDINACCORDANCEWITHCLASSD „ MAP FORCODEOFCONN. TECHNICAL COUNCIL; INC.JOHN iH. TENCZA
BEELZEBUB ROAD SOUTH WINDSOR
SCALE 1"= 50' FEBRUARY 1973
WILLIAM J. CARRINGTON L.S.
5424ELECTRICAL
APPLICATION_
Application
No.
5734
on
the
side
of
Beelzebub
Road
Street
Street
No.
141
Owner
John
W.
T
e
nc
z
a
Electrician
John
W.
Tenc
z
a
FILED
IN
OFFICE
OF
The
Building
Inspector
December
28
1973
INSPECTION.
No
Electrical
Work
shall
be
started
until
a
Per-
mit
is
granted
by
the
Building
Inspector.
In
New
Buildings
no
wiring
shall
be
started
until
the
plumbing
and
heating
pipes,
and
the
fire
stops (
if
of
wood)
are
installed,
without
a
special
permit
from
the
office
of
the
Building
Inspector.
a5`/ 9
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORD.
No. ......5'7 3?........................
1 Permit No. 542
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH W INDSOR, CONN.
z ...... hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., ... £ .. 20.......................... 1J.73 Sign here ..... ............................... ................... ............................
pSJG6
Address .1R... * .... 5.A ` 9
Location I 'g Side of CAS-7
Natureof Building ....................................... .................................................. How many stories ..................................................................................................
Newor old Building ............. 4' ............................................................. How many families ................. ......................_.....................................................
Kindof Installation .........../? How many Stores ......................................................................................................
Owner `7a. !A!.......Gf!'..........1...... .Z..1.9.............. ................ Address D l......Bo7........5..If..A....._..4V)... .r Lt i,VG TUv
Architect ..................0 W NE. ............................................................................ Address ............................S ./1!.......................................
Builder ......................d W N.:..!.....................................................I................... Address .............................5.M......................................_. ......................
0W N SAMElectrician ................
Size of Main Wires ....... , .........A.L.................._
No. of Light Loops ........................................ No. of Heat Loops No. of Power Loops
No. of Light Outlets ........3....L.................. No. of Heat Outlets ............................................. No. of Power Outlets .......................................
NoO of Light Circuits .................................... No. of Heat Circuits ......................................... No. of Power Circuits ...................................
No. of Sockets ......................................................... No. of Heat Receptacles .............................. No. of Motors .........................................................
No. of Panels ............................'L........................ Size of Heat Circuit No. of Power Receptacles ..........................
No. of Switches ..................3..0...................... Total Wattage ........... ..k.W....................... Size of Power Circuit ..................................
Total Horsepower ...............................................
No. of Straight Electric Fixtures ..................3..0............................ No. of Combination Fixtures ......... .................................................
No. of Receptacles .......................... 70............................................................. No. of Cord Drops .................................................................................................
Remarks: For other kind of Installation ....................................................................................................................................................................................................
1..a... ....... .P.......... .0 a.....v.. ..........S. e..u. ..E.....................R G.. tR....L-. tT.NG AND
0W6766N cY....PANS L............)r i.. E"A......... ........el-RAY! r........fro ...... 1. .E.... 2GEnv y
6 .P".t 1.k...........................................................................................................................................................................................................................................................................
Estimated Cost ' .1..7..Q.Q.+..........................
4503
J
PLUMBING
APPLICATION
A
PPlintion
Na
4
92
on
the...._.
5,
o
071-
1
ide
a
EEELZ&
BUS
AaA9
Strat
1qo. ...... /
4/
O ,
a .. '
RA/
A/
Pr
IC14
L.
TnlczA
Plumber _..?-
oH•
L/,
TEAyc
zl
Filed
in
Office
of The
Bin
I
rpee
oe
Jan.
8
1974
1
SCION.
No
person
shall
construct,
add
do
ew
abee
my
portion
of
the
drainage
symm
of
any
buldOg
except
to
repair
leaks)
urA
a
Permit
is
grmoed
by
the
Building
In:
pww.
Application No. ...4292...................... Permit No. ........4.5....0. 3..............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
r...........hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
SouthWindsor, ...... N(.... ............................ 19 ... Sign here 1. ........ ............. .. -.................................
Address ..... #i ,8v sy, l i ....rv T v. T...R..... ......... .............. ............ .......
Location ...1..4.1....$EEL..JB.....a{A so rfl side of .................................................Streetr..............
Nature of Building ......... How many stories .......0&4.............................__...................................
Owner ....aNN......G. ,).... ......f'f...T.i4?zcm..4........TNCZ,9... Address R .#/....40' ....SYt.1....
Architect ....N04 .C............................................................................................. Address ........................................................................................................................
Builder ..........ter-! /..ICE! ........................................................................................ Address .................S..Ah ...................................................................................
ASEPlumber ......Qw/..t Er ........................................................................................ Address ...............S.........................................................................................................
DRAINAGE
CESSPOOLS, How many ...................... ............................................... Where located .....................................................................................................
Arethey water tight .......................................................................................... Of what materials are they built ........................................................
Size of pipe from house to cesspool ................................................... Kind of pipe ...... .. ...:... ................................................................................
MAIN DRAIN IN CELLAR, Material .....C.,..Z............... Diameter ............... .../.. / ...........................................................................
Aboveor below cellar bottom ...........0 44'o......................................................................................................._......................................................................
SOIL PIPES, Material ..........................k. .S..................................... Diameter .'-lAlc q
WASTE PIPES, Material S'................................... Diameter z .... ... .. ?.../«..............................................
TRAPS,Type proposed to use is ............ ................................................................................ ...............................................................................................
RAINWATER LEADERS, where do they run to ..........Pe! ,Y.lrJ..g..............................................................................................................
REFRIGERATOR WASTES, where do they run to ...........................
TANKOVERFLOWS, where do they run to .. ... .. ..............:.............................................................................._......................................................
FIXTURES
WATER CLOSETS, How many z Where located ..f/ S:T....F... ..... .7-/ASS'...................
S d N .TATDistancefromtraptoverticalsoilpipe ........2,.......<...? ....... Pattern .......................y...p...t.P.............................................................................
WASHTRAYS, How many 0........................... Where located .....................................................................................................
SINKS, How many Where located ../C/ 'S T..F4.Q Oi .... /T!l ...................
BUTLER'S SINKS, How many ................................................... Where located .....................................................................................................
REFRIGERATORSINKS, How many....0............................... Where located ......................................................................................................
LAVATORIES, How many ................................z............................... Where located . iiE'S ".... Ldd!'......eft-17&-d........................
BATHTUBS, How many................................... ................................. Where located ........'...........................................................................................
URINALS, How many ..........................................0................................... Where located .....................................................................................................
Are water closets and urinals to be local vented ..... . .....No............................. If not, is there a window in outer wall
ofroom where same are to be located ..............xz.s....................................................................................................................................................................
Estimated Cost.. Q.............................I........
PERMIT #
Application
For
4188
E
j.
cd
DEPARTMENT
DECISION
4410 $
eat
permit
0
1
3
APPLICATION
IS
HEREBY:
DEPARTMENT
OF
LICENSES
AND
INSPECTIONS
N +'
XI
APPROVED
DISAPPROVED
TOWN
OF
SOUTH
WINDSOR
1cd
1/
8/
74
00
O
DATE
HIE
INWC
F
r
APPLICATIONS
MUST
BE
PRINTED
OR
TYPED.
BEGIN
WITH
NUMBER
ONE
BELOW
O
79
1.
LOCATION
of
JOB
O
ROAD
NO.
STREET
cc
v
LOT
NO.
FLOOR
APT.
NO.
O
pJ
2.
OWNER
Offil/
W.
Pf1T/
e/
C/
A
L, /
l
CZF1
o
S.
ADDRESS
g
P/
i
11I/
LL11V67?/
V
CONN. (
2L27,
9a.
PHONE
4-
2
Z-
S.
APPLICANT
00
a.
ADDRESS
SArYI
7.
PHONE
w
LICENSE
NO.
a +
s.
EXPIRATION
DATE
OF
LICENSE
10.
ESTIMATED
COST
11.
IS
THIS
A
CONTRACT
COS"
rz
be
YES
No
12.
FEE
ENCLOSED
S
Permit
8119
d
IS.
TYPE
OF
BUILDING
FA
owl!
b0
IT
RESIDENTIAL
COMMERCIAL
O
9:
rr
3
14.
TYPE
OF
JOB:
INDUSTRIAL
r+
i
A
i
ORIGINAL
ALTERATION
1
LL11
INSTALLATION
ADDITIONREPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
rJl 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
Ell"GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNE' FIRING RATE
BOILER OR FURNACE MAKE AND N0.`/L Alc AIN OB.U.. OR SQ. FT. NET 9-74dU B.T.U. OR SQ. FT. GROSS/2 FIRING RATE
FLOORS TO BE HEATED OME NEW OR OLD BUILDING NEW INSULATED - YES OR NO YFS
TYPE OF WALLs/S/EET/f00k INSULATION R-11 ROOF OR CEILING CE/L11.G INSULATION/7
AVG. SYSTEM WATER TEMP. 1700 B.T.U./SQ. FT./HR. EMISSION -5 9832 'BTU ToMf- LOSS
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 70 °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.TPEk&.121-cRoA4eD 520161L1
11
C Z B4tSE864R0 .S/U 8741
fo
Cry RCCEdSSFD c0*l1&G7-,qR-
DESCRIPTION OF WORK TiUSTA(-L UAS F/Rt-P raR6ED HoT H/AT Two PM-5- REVa'SE- , iSTMeit/ SyST&I.15. TO BE DONE:
COMW 1-MSrBMWIN BWbn4z, C,l, RECESS C04141AC-C7,0,e S /At BATH 10 TC#6AI BASF&j 1qR'q'1w
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): L///1i16 9oOM 3 ZoA;i S
Roow slzE WINDOWS AREA - SQUARE FEET S.T.U. S.T.U.0 DISTRIBUTION INSTALLED
AND DOORS I VOLUME TOTAL TOTAL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j
L REGISTER
L W N SZE WALL Lto INFILT.) OEM' TO .
F
F f: TYPE AND SIZE RAG. OR LEADER
t' F 0 SQ. FT. FREE AREA
Ac
TOTALS
A. HEAT LOSS FROM BUILDING 54 832 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND AUTO, 69S kZILKA? A=AT&-z 40 6A4.B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: 7ZyAl W. T,7VCZA s q j, AM-LIi16MY, Mudd
NAME ADDRESS
THEROTRESRS AND
18. THEIR A014/k,
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
7;4V, If 74 Z-0,-4ATESIGNATUREOFILICANT
cars
A.
1
i/.
1•(
j
r* {
n`
r~
i
Lr
La'
iL..
0.
i
r
YY
I.+
V.
Y ••
li
11 .
i.
FOR; /
vj
f
r1 <"
LOCATiO.
V
I
DATE
USE
No.
STORIES
DESIGN
s
INSIDE.
OUTSIDE
TiEM.
PCRATL
RE: (
Ti)
OF
To)
OF (
Ti-
To)
OF ,
DO
TYPE
OF
CONSTRUCTION
HEIGHT
ABOVE
GRADE
DEPTH
BELOW
GRADE
INSULATION:
WALLS
CEILING
FLOOR
DOORS
WINDOWS
7
COZFFICIENTS•
CEILING
FLOOR
GLASS:
GAS
2.
0
STU'
S—
3Tt:'
s
r'
Nitts/
Sa.
Ft./
Td):
WALLS
Int./
Ono
Air
Chanco
ELEC.
0.
37
WATTS—
A
LOSS
CALCULATION
A:.;
E
OF
ROOM
tolri
ROOM
SIZE
s'
V/
1.
Vt-
CEILING
HEIGHT
LINEAL
FEET—
EXPOSED
WALL-
GLASS SOURCES
OF
COEFFICIENT
Area
BTU'
s
r
Aroa
BTU'
s
or
Aroa
STU'
o
or
Area
BTU'
s
or
Aroa
BTU'
s
or
Area
BTU'
s
or
Aroa
8TU'
s
or
Area
C
T
U'.
or
i
HEAT
LOSS (
BTU'
s-
Watts/
Sq.
Ft.
or .
Virttf
or
Watts
or
Watts
or
YVatts
or
Watts
or
Watts
or '
Watts
or
Watts ,
or
Cu.
FL)•
Volume
Loss
Volume
Loss
Volume
Loss
Volume
Loss
Volume
Loss
Volume
Loss
Volume
Loss
Volume
Loss
A03:.
1
Vo.
UPAZ:
Ct):
iiC
FEET
ObL
L
f
9.
7
GROSS
WALL
AREA.
SQUARE
FEET
GLASS
AREA
1017
Z1 ,
SQUARE
FCET
E1'
WALL
AREA
SQUARE
FEET
t+-
r
FLOOR
AREA
SQUARE
FEET
D
3
t,`
CEILING
ARIA
c
j
SQUARE
FEET
I
I
S
I
f
r
TOTAL
HEAT
LOSS
WATTS
OR
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S f
DEPARTMENT
DECISION
APPLICATION
FOR
HVAC
PERMIT
TOWN
OF
SOUTH
WINDSOR
PERMIT#
Application
is
hereby:
I
BUILDING
DEPARTMENT
t
APPROVE
1540
SULLIVAN
AVENUE
Bldg.
Permit#
644-
2511
ext.
230
Date
Building
Inspector
3
Application
must
be
printed
or
typed
FEE
SCHEDULE
Location
of
Job:
0-$
1,
000=$
13.
00
Street
No.
Street
Lot
No.
Over$
1,
000=
13.
00
per$
1,
000
or
any
fraction
thereof
Tenant
Designation
Apt.
No.
APPLICANT
t
Q
t0,
Q
1,
C
6 .
APPLICANT
ADDRESS
7
Z:
APPLICANT
PHONE#
j
2
W
N
S
F,
1
OWNER
r1
o .,^
s_
2
C3,
OWNER
ADDRESS
n
OWNER
PHONE
0
E
ESTIMATED
COST$
U
IS
THIS
A
CONTRACT
COST?
4es
0
No
rid
FEE
ENCLOSED$
2
OR
CO
TYPE
OF
JOB:
D
Original
Installation
Alteration/
Addition/
Repair
Revised
8/
99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF UILDING:
HEATING 41RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
A HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
5) C,\ 3 - 3 C_7
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT `., - DATE
Electric# APPLICATION FOR BUILDING PERMIT
Pl=bing#- 141 Beelzebub Road
HVAC #
tqo_ 28138 Date:
Sprinkler#
FINAL APPROVALS Estimated Cost oo.oU
Building 030-o/ =
SIGN
BOXED AREAS Permit Fee 4Engi3.
Ming RINT ONLY Occupancy Fee $Affidavit EVERSE SIDEAppr.for CO.Total Fee
TO BUILDM DEPARTMENT,TOWN OF SOUTH WII)SOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location J¢/ 8 f?•b , Lot No. Side of Street Zone
Applicant J 014 N PJ, T'CAI C 2 A Tel#_ 6 22 O'7
Address SA me Zip (1 6 0 7¢ Lic.#
Owner 5 A rrn a Address S od m>r
Architect Address
Sq. Ft.New Area: lst A. 2nd FI. 3rd FI. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:_ JAB 5 3 30 --,A L o/L. ZA' Wk Al SA CMeA)7-
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date Use Group "—' Construction Type
Rovk*d 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town ofSouthWindsorandtonotifytheBuildingInspectorofanyalterationintheplansorspecificationsoftheBuildingforwhichthis
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed
1 hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection /
Approval
Date
By
Appl
Code
Description
Due
Whom
Code
Comment
28138-
B
400
B07
TANK
INSTALL/
REMOVE
08/
28/
01
CJD
A
W/
OWNER
B10
FINAL
08/
30/
01
CJD
A
CLOSED
OUT.